EDI FAQ of the Week

The Division of Workers’ Compensation maintains a resource page for EDI issues. Among the features on that page, the Division posts an EDI FAQ of the week. This week’s FAQ and answer:

FAQ of the Week:

Q: How long do I have to report my workers’ compensation medical billing data to Texas after action has been taken on a workers’ compensation medical bill?

A:  28 TAC §134.804(a) provides that insurance carriers shall submit an ’00’ original medical EDI record for each action (initial processing, request for reconsideration, or subsequent orders) taken on an individual medical bill. Original medical EDI records shall be reported within 30 days after the date of the action.